DM-BOOST Para Latinx: a Diabetes Mellitus Program Using Behavioral Economics to Optimize Outreach and Self-management Support With Technology for Latinx Patients

Daniel Amante

Status: Enrolling

Conditions: Diabetes Mellitus, Type 2

Treatments: Behavioral: Diabetes BOOST; Behavioral: Usual Care

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05583877

STUDY00000376

1K01DK131318 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The specific aims of this project are to culturally adapt the DM-BOOST intervention for Latinx patients, usability test 'DM-BOOST para Latinx' to optimize cultural appropriateness and patient engagement and conduct a feasibility evaluation of DM-BOOST para Latinx. These aims will be accomplished via a community-based participatory research approach in collaboration with clinical, community and patient partners. This project will inform subsequent proposals to evaluate implementation of DM-BOOST in the UMass Memorial Health Care system.

Enrollment: 70 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Aims 1 and 2 Patient Inclusion Criteria:

• Age > 18 years
• Diagnosis of type 2 diabetes
• Identifies as Hispanic/Latinx
• Spanish language preference

Aims 1 and 2 Patient Exclusion Criteria:

• Cognitive impairment
• Current prisoner
• Pregnant women

Aim 3 Patient Inclusion Criteria:

• Age > 18 years
• Diagnosis of type 2 diabetes
• Identifies as Hispanic/Latinx
• Spanish language preference

Aim 3 Patient Exclusion Criteria:

• Cognitive impairment
• Current prisoner
• Pregnant women
• Completed DSMT in previous year

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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70 participants in 2 patient groups

Intervention - Diabetes BOOST

Experimental group

Description:

Intervention group participants will complete a baseline survey, receive a referral to DSMT from the research team, a mailed welcome letter and self-care education sent via a series of personalized patient portal secure messages, text messages, and video call. They will be sent text messages with information about one of the American Association of Diabetes Educators 7 self-care behaviors and will receive encouragement to author their own self-management behavioral goals. Participants will also complete a telehealth training video call with research staff to review the functionality of their patient portal and refine diabetes-related goals. The participant will then be encouraged to send a patient portal message to their DSMT CDCES that includes their personalized goals prior to their scheduled DSMT session. They will then complete a 3-month follow-up survey and qualitative interview.

Treatment:

Behavioral: Diabetes BOOST

Usual Care

Active Comparator group

Description:

Comparison Group participants will complete a baseline survey, receive a DSMT referral request from research team to their primary care provider and a mailed welcome letter. The mailed letter will welcome the participant to the study and contain general information about diabetes self-care behaviors and goal setting. They will complete a DSMT session. They will then complete a 3-month follow-up survey and qualitative interview.

Treatment:

Behavioral: Usual Care